The URL can be used to link to this page

Home My WebLink About3992 Moore StreetCity of Wheat Ridge >f Homeowner Sewer Repair PERMIT - 201800179 PERMIT NO: 201800179 ISSUED: 01/17/2018 JOB ADDRESS: 3992 Moore ST EXPIRES: 01/17/2019 JOB DESCRIPTION: Replacing 25 ft of main sewer line from house; replacing with approved sewer line with cleanouts *** CONTACTS *** OWNER (303)447-3167 BLAKE MICHELLE *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,000.00 FEES Total Valuation 0.00 Use Tax 21.00 Permit Fee 43.50 ** TOTAL ** 64.50 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** City of Wheat Ridge Ap Homeowner Sewer Repair PERMIT - 201800179 sere r PERMIT NO: 201800179 ISSUED: 01/17/2018 JOB ADDRESS: 3992 Moore ST EXPIRES: 01/17/2019 JOB DESCRIPTION: Replacing 25 ft of main sewer line from house; replacing with approved sewer line with cleanouts I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applica le building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this penmt. 1 further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed an�d�t®hat aa,l-/lwork to�be`per�ormed is disclosed in thhisl�doe umje/n�t and/or it�sr' accompanying approved plans and specifications. fv/M'��i,Gw�-•��' l a�l�. `Vfv/l / / 1 v�U�Ci Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanyingdans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermit fee. 3. if this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The pen -nit holder shall notify the Building and Inspection Services Division in accordance with established policy of all re uired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division 6, The issuanceqr, ranting of a pe4nats�� b�e construed to be a permit for, or an approval of, an violation of any provision of any applicable ao°0o a trrdinance 6Treguiat n of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Litye cel Building & Inspection Services Division 7500 W 29 Ave. Wheat Ridge, CO 80033 Office 303-235-2855 ' Fax 303-237-8929 Inspection tine 303-234-5933 Email FOR OFFICE USE ONLY I Date. {/ ' )/ Plan/Permit # anMowq Plan Review Fee. '"' Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. "°" Property Address: �qq,rv(00ZE' ST, ��CJ°l c % �`i�� 0 Property Owner (please print) 1 V l f C�/q C ZL -C SLA )eE Phone �1��' � % -3/1/ Property Owner Email: M% e tlelllQ h d` 7 � Q. ow Failing Address: (if different than property address) Address City, State, Z Arch itectlEngineer: IV /%!+ _ Arch itectlEngineer E-mail: Contractor: Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical. V%IR City License # Other City Licensed Sub City License # Plumbing. VV.R City License u r Other C tV t icensed Sub City License # Mechanical VV.R City License # Complete all information on BOTH sides of this form A LVII :AI L 11 VV)IS 21=3CI.1OHC IV.) an.uu{lnr. (III \\0IaLI .,tr;leliml cru wq Inm • On) atll to I,a1,1,oAI ul.ui)I uulJPoIdLI\ ti[u_t.,<I .;[nl,Iln�{ I,a\e { e I,, uOnnaa\a )III y„tl0.rtll •hue. {,.w, •rt{l Irl noesis I,ammxIlne Ow mi out uI I,ai(_unilne -,;ull,IIIlq Ile put! sue �,,vold ul ar-ipgj 1 a[1 \\ lu KV) mp ail. qmv m I' vma un? I lath l'<,oJp n[I1.tnI I ,IwLjP. I,.nta a[I1.10 1.1pi'[I lr r;al MII ure I Will hue a ;I,aI aunty �w (�, ria�I ')111 01alr.rn,�e pupi�au �[I �t a ��,<{C {�-)pl w.ld uollettr_u,Jur alll Will l�alltr �ya.nl{ { 'a.mlr.ut;l� iu( �fI tlil\ ) Ir)V)\H \101 Olk 1\ II')I(l X21 M\ 1\ ,VV) 1.1 \ (I .AOLI V11(1V I MIV.) (INVI)M LLSVK VSLA :j&l I (121\ . ) :2FRII\ 1\ MI\ ) :A'OLL t 71 HO. -I l7 UH 1 S I.II\2Fld XVA GI MIN :I.\\ IDII I \\ O 12I MI\ 1\ 1\011d I )\ I \( ). ) :SSS- WI(I\ ')\ITIM 21- GIOH( MV,) :10 -II\V\ IMA M dI\O.) IL\(I (1\V?IA)O21d .LII\2I_Id'.)\I(IT ISI (1 1\\ I \1 _-IS 121O:I) [Ni 10_I NOI.LV"1_I2IORL IV (MV,) _LIQAN,) d I(M)" „u[J\ O) ., phi?I w. \\ '�\ VMS. -;ui,ijMyJ P%11-1011\ SPIN t''XI ` - `"-1c�n I"l! ii 1 1..7 ❑ COMMERCIAL 6 RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed. deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT [WPLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) -k,PvtICA C, (>,)5 ' 0 F' ►vl �--�� S�ianJ�. L��l r� FiZO�t kL R S F; 9 CA-Acr iJ & W iTH- APawVl!�7 5 &4)ZtZ L PJ Sq. Ft./LF Amps Btu's Squares Gallons _ Other Project Value: (Contract value or the cost of all materials and labor Included in the entire project) kfJ ~��.- 1/0100,00 1 1006, O\1 NER CONTRA(JOR SIG\ATL RE: OF L NDERSTANDING AND AGREEMENT I hcrcbv certiti chat the sclhuck distance, proposed by ih;, penmt application arc a,curaic and do not cuolatc anplrc.rhle ordinance,, rule, or regulation, of the Cm of Wheai Rides or cotenarx., ca,emcntc or rc.triction, of record. that all measurement, ,ho— and allegation, mddc arc accurate, thio 1 UN e read and ague to chide h\ all condition, printed on this application and that I a,:umc lull responsihilih_ tor compliance \c ith appheahle Citi of \\ heat Ridgc codes and ordinancCI tiu %r ork under am permit i»ucd ha,ed on till Jpp'icJuon_ that I am the Icgai dnNncs or hacc hcen authorried hV the ,e_aai oc,ncr of the propertA to perlimn the descrihed :+ork and ,w� al,o authori/Cd h% the leg.rl o" ncr ill ars% cntitt uiciuctcd on ti)r,.ahhlicauon to hit that Ctltii\ on thi, application CIRCLE OAT OIf'\ER) (CO.\`TRA('70R) or (-!t THOK7/_EU RE'PRGSEA7-IT/1 G) uf" (Off '\ER) WO\TRACTOR) PRI ANIE: M ICN&LLr �Cp-kC ZONING COMMMENTS Reviewer BUILDING DEPARTMENT COMMENTS Reviewer PUBLIC WORKS COMMENTS Reviewer PROOF OF SUBMISSION FORMS SIGNATIRE:1/1 L(r✓L�� DATE: 7/ I9 DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required TYPE OF CONSTRUCTION SPRINKLERED OCCUPANT LOAD Building Division Valuation: $_ 4 �s w S ��4uZ� 41, W rFH Aa' o � CLAM PI Pr seN 90 Pvc, W 1_--C4LAPcj"A TI) Z}"CLqy C,>jpF cl-P-W D�7 PILL I�✓ City of eat i e COMMUNiTy DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): M t C 1-}' Project Property: Sojq A /q()�'� $Uo33 Notarized signature of Applicant State of Colorado } County of�, )5W& '500% } ss The foregoing instrument was acknowledged by me this /1 day of v&r 20_Sby =1CGr "J, /4.LC T JAYMESUE MCRIMMON NOTARY PUBLIC STATE OF COLORADO NWARY ID #20154009457 u MY COMMISSION EXPIRES MARCH 06 L_ 1�_ My Commission Expires —3—/ &J20& Ata u <ze) l �C%a ( (' qfz Allore S INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occupanc Type lk Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Mid -Roof / Fire Inspection / Fire Protection Dist. Lath / Wall Tie Final Plumbing Rough Electric " Final Mechanical Rough Plumbing/Gas Line Roof o Rough Mechanical Final Building Rough Framing NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof o Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather *** CONTACTS *** OWNER (303)909-2174 BLAKE MICHELLE SUB (303)274-8677 Tighe Blackadar 070057 Blackadar Construction *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,000.00 FEES Total Valuation 0.00 Use Tax 168.00 Permit Fee 172.60 ** TOTAL ** 340.60 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection.will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703666 PERMIT/NO: 201703666 ISSUED: 07/10/2017 JOB ADDRESS: 3992 Moore ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -Roof to INSTALL OC DURATION ASPHALT shingle with 17SQ HOUSE 5/12 *** CONTACTS *** OWNER (303)909-2174 BLAKE MICHELLE SUB (303)274-8677 Tighe Blackadar 070057 Blackadar Construction *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,000.00 FEES Total Valuation 0.00 Use Tax 168.00 Permit Fee 172.60 ** TOTAL ** 340.60 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection.will not be completed. �04, CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ATO Job Address: 9 Ar)" S Permit Number: &44 Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303 -234 - Date: ( ' ( Inspector: rk DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: r d r Job Address: 3 9 9)_ t -n t) O CL T Permit Number: G J '7 0 L �. oz()v�9 ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re-inspection.at 303-234-5933 Date: Inspector: - DO NOT REMOVE THIS NOTICE 1 t d i CITY OF WHEAT RIDGE Vr- _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: e 0 r Job Address: 3� 9)_ f -n u O C e S7' Permit Number: a G / -7 c -) (, L 4. oz0)) t0 ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 30$-234-5933 Date: �`'� Inspector:` DO NOT REMOVE THIS NOTICE A . City of Wheat Ridge .. r __"�9r Residential Roofing PERMIT - 201703666 PERMIT NO: 201703666 ISSUED: 07/10/2017 JOB ADDRESS: 3992 Moore ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -Roof to INSTALL OC DURATION ASPHALT shingle with 17SQ HOUSE 5/12 *** CONTACTS *** OWNER (303)909-2174 BLAKE MICHELLE SUB (303)274-8677 Tighe Blackadar 070057 Blackadar Construction *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,000.00 FEES Total Valuation 0.00 Use Tax 168.00 Permit Fee 172.60 ** TOTAL ** 340.60 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representa.tive stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703666 PERMIT NO: 201703666 ISSUED: 07/10/2017 JOB ADDRESS: 3992 Moore ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -Roof to INSTALL OC DURATION ASPHALT shingle with 17SQ HOUSE 5/12 [, by m signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be per is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and receivedprior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Budding Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable. bode or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Dane Lovett C From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 27, 2017 5:53 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name 3992 Moore St Michelle Blake Property Owner Phone 303-909-2174 ; Number , � -7f) ( � Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Blackadar Construction, Inc 070057 3034359655 Contractor Email Address tighe@blackadarconstruction.com Retype Contractor Email tighe@blackadarconstruction.com Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material: If "Other" is selected above, describe here: No I\k OC Duration X Asphalt Field not completed. How many squares of the ( 17�\} material selected above? 1 / Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? 0) TOTAL SQUARES of al 7 roofing material for this proj ect Provide additional detail house 5/12 Sc; here on the description of / work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 8,000.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Tighe Blackadar Email not displaying correctly? View it in your browser. 3 Blackadar Construction, Inc. 6800 W. 5th Avenue Lakewood, CO 80226 303-274-8677 (Phone) 303-462-4967 (Fax) blackadarconstr@aol.com CONTRACT Date Estimate # 6/13/2017 16-618 Authorized Signature Customer Signature Tighe Blackadar, President - Blackadar Construction, Inc. Date of Acceptance1//!� Page 2 Name / Address Ship To Michelle Blake Michelle Blake 3992 Moore Street 3992 Moore Street Wheat Ridge CO 80033 Wheat Ridge, CO 80033 Description Qty Cost Total Blackadar Construction, Inc. guarantees that all materials will be specified above. Blackadar Construction, Inc. will perform this part of the contract in manner consistent with roofing industry standards. Performance by Blackadar Construction, Inc. is subject to strikes, accidents, and delays beyond the control of Blackadar Construction Inc. Blackadar Construction, Inc. is not responsible for any damage to the property before the roof is applied. Blackadar Construction, Inc. carries Public Liability Insurance. Three days after acceptance, if canceled, customer must pay for any restocking charges; permit fee, or any other costs that Blackadar Construction, Inc. has incurred from the acceptance of this proposal. The undersigned agrees to be liable for the reasonable additional costs necessitated by his request for a charge in the above specification, and that Blackadar Construction, Inc. will be bound by such a change in specifications only if it is in writing. Owner to carry fire, tornado and other appropriate casualty insurance. The undersigned assumes responsibility to verify accepted shingle types and colors with any community covenants that may exist. This contract has been read and understood by both parties. This contract may be withdrawn by us if not accepted within 10 days. Total $9,036.57 Authorized Signature Customer Signature Tighe Blackadar, President - Blackadar Construction, Inc. Date of Acceptance1//!� Page 2 Blackadar Construction, Inc. 6800 W. 5th Avenue Lakewood, CO 80226 303-274-8677 (Phone) 303-462-4967 (Fax) blackadarconstr@aol.com CONTRACT Date Estimate # 6/13/2017 16-618 Authorized Signature �lff Tighe Blackadar, President - Blackadar Construction, Inc. Customer Signature Date of Acceptance Page 1 Name / Address Ship To Michelle Blake Michelle Blake 3992 Moore Street 3992 Moore Street Wheat Ridge CO 80033 Wheat Ridge. CO 80033 Description City Cost Total Farmers Insurance Claim: 3008593119-1-1 Duane Kimble 913-608-3466 1. Dumpster load 1 455.56 455.56 2. Tear off composition shingles 17.51 32.04 561.02 3. Roofing felt - synthetic 14.2 27.99 397.46 4. Ice & water shield 182.47 1.98 361.29 5. Drip Edge 182.47 1.98 361.29 6. Laminated shingles 19.26 200.00 3,852.00 7. Ridge cap 107.47 3.72 399.79 8. Roof vent 2 99.50 199.00 9. Detach & reset roof vent - turtle type 2 47.88 95.76 10. Detach & reset digital satellite 1 36.26 36.26 11. Flashing - pipe jack 2 34.12 68.24 12. Tear off composition shingles 2.34 32.04 74.97 13. Roofing felt -synthetic 2.34 27.99 65.50 14. Laminated shingles 2.57 200.00 514.00 15. Ridge cap 16 3.72 59.52 Replace gutters 227 5.79 1,314.33 Sales Taxes 1 220.58 220.58 Additional charges to be submitted to insurance for permit and any other items as allowed in a supplemental invoice on completion. Due on DELIVERY OF MATERIALS/Start of Work: $7,394.74 Due on completion: $1,500.00 Balance due on receipt from insurance company, including cost of permit Total Authorized Signature �lff Tighe Blackadar, President - Blackadar Construction, Inc. Customer Signature Date of Acceptance Page 1 C ty of ge in Application 67 Building Permit (Complete gi highlighted areas) Property Address s .. w' :. r p r y Owner (please farina) $ °� � � � � l° one 4 ` 7 7 Mailing Address: (if different than property address) Date: Plan Emm i .• iw M w BTU's - .w.__. Gallons �.._.� Asps _. �._ �. cp Ft, R eview Fee (due at time of submittal): 1 hercbyr ((,city that (lie setback cla,taaraccs p5s`elpteied by this pacnnii tapaplicaaiion are accurate and do not a'icalratc ap,prtic.alllc cazcpitalaaaceA , nule", or rcttulsaticaty� of the City of Wheat Ridge or csawinentws or acNirictions of record; that all shown sari €1 allegations made are accurate, that 1 Itace read and saf roc w aabi(tc l,y aall condition"; printed on this application 1,11(1 that 1 asstuaa,c ball reslac)rrsibility for complianec, Mill aapapalicsable 'it\ of Wheat Rial *.;c codes, aan(l csa°din antes: fe)r wort under any pa,:nnit is mecl based can this tapapalic aationt that i carat the Wg al owner or have b zaanhorized by the legal owner cat` the property` to perform tlac & Critw d work ,aaacl aaaaa aN autlulfizcd lay the legal owner of " any r cmity included 1111 this application to last that entity on this aap plicaatieart. CIRCC.EOXE: {t tt° " ") (CONTR,dt "TOR) jsr` fHM NAME- — W&42 SIGNATURE: Bldg Valuatiow o .i 1 0000 y q Ave nue East 46th 4 y • w r «c -« [: if # M r OC A..V#.m " aw x v r::.. a V$ w3647.G tlFiw 7l1 i STYL CLR lZ}y�`p FULL G RJ Dp .S` g�y Opq�abw�`...... !x# #4 }a Tfi . dA ;9U�FCUt ■T X§ H ! /N �s^�y STY f LE 4, O LOO i LOC StV 1iA G9� # wi COMMENTS 1 x ^^g^ `y� x x i x x x 3 x x 4 x x x x x x 6 x x x T x x x 8 x x x x x x 10 x x x 11 x x x 12 x x x 13 x x x 14 x x x 4: ♦ ♦ CITY OF WHEAT RIDGE r Building Inspection Division 1 (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: I GAL Job Address: _ 1,2- Inn d v` e Permit Number: ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No * When corrections have been made, call for re- inspection at 303 - 2345933 Date: Inspector: OA, - DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSP~GTIOTt E G~ Inspection Type: 144- Job Address: Permit Number: ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No When corrections have been made, call for re-inspect, o at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE �-j- Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: M I ,C 00 Job Address: « ie c - ST- Permit Number: ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No When corrections have been made, call for re- inspection at 303 -234 -5933 Date: q .P_ a7 inspector: i [ DO NOT REMOVE THIS NOTICE City of Wheat Ridge ►J Residential Roofing PERMIT - 091780 PERMIT NO: 091780 ISSUED:. 08/28/2009 JOB ADDRESS: 3992 MOORE ST EXPIRES: 02/24/2010 DESCRIPTION: Reroof 23.33. sqs ***-CONTACTS owner 303/477-3167 Michelle Blake sub. 303/242-8444 Jerod Raisch 09-0053 Metro Construction Inc PARCEL -INFO 'ZONE CODE: UA --USE: -UA SUBDIVISION: 0207 BLOCK/LOT#: 0/ **.FEE SUMMARY ESTIMATED PROJECT VALUATION: - 7,970..44 FEES Permit Fee 199.30 `Total Valuation :00~' Use Tax 143.47 TOTAL 342.77 Conditions: '6 nail installation & mid-.roof inspection required. Board sheathing spaced more than 'a 1/2 of an inch apart requires, plywood overlay on entire roof. Ice and water shield required from eave edge to 2' inside exterior walls. Subject to field. inspections. I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,. rules or. regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and. allegations made are. accurate; that I have read and agree to abide by all conditions. printed on.. this ...application and. that I assume full responsibility. for compliance with the Wheat Ridge Building Code (I.B.C)..and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. n Signature of cbnM'ac or/owner date 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and. Building -Codes. of Wheat Ridge,. Colorado or any other applicable ordinances' of'. the City.'. 2. This permit shall expire .180 days from the issue date.. Requests. for an extension must be received prior to expiration date. An 'extension may be granted at the discretion of. the Building Official. - 3. If this permit expires, a new permit may be acquired for afee of one-half. the amount normally required, provided no `changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one :(1) year. If changes have been or if suspension or abandonment exceeds. one (1)' year,. full. fees shall be paid fora new permit. 4. No work of any manner shall be done that will change. the natural lflow of water. causing. a drainage problem.. 5. Contractor: shall notify the Building .Inspector ..twenty-four (24) hours in advance for all inspections and shall receive written approval on. inspection card before proceeding with successive, phases of ; the job. 6. The issuance of 'a permit or the approval of drawings and specifications shall. not be construed. to be a permit for, nor. an approval,?1 violation of the provisions of the building codes or any other ordinance, law,. rule or regulation. All pl ate rs subject to field inspections. Signatur i f Cheef Building Official'. Nate INSPECTION REQUEST .LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855. REQUESTS MUST BE ( MADE BY 3PM .ANY.. BUSINESS ...DAY . FOR INSPECTION THE. FOLLOWING. BUSINESS DAY. a City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303,-235-2855' Fax: 303-235-2857 Inspection Line: 303-234-5933 Building Permit Application Date: Plan Permit Property Address: I qo tUh 2 R4 OP03 Property Owner (please print), ICI e Ili`' J I ,P (e. Phones3oa 7 77 7 Mailing Address: (if different than property address) Address: Citv_ State_ ZiD: Contractor: Met(J onsincfion Contractor License ( H- Phone: Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ et) Description o~f'work (as calculated per the Building valuation Data she A'ef 5i w~! C(/YI~LID✓JfG fir// Plan Review (due at time of submittal):$ -i-A my es Sq. Ft./L.Ft added: Squares 03TU's - Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OW ) (CONTRATOR) PRINT NAME: -mod,( I~ & - SIGNATURE: J~'AAa!' _ Date: DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: OCCUPANCY: Reviewer: FIRE DEPARTMENT:: ❑ approved wl comments ❑ disapproved ❑ no review required Bldg Valuation: $ DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 SIC SHED MUST MAINTAIN 5'SETBACKS 3814 9/10/96 Property Owner : ROBERTS MARK D Property Address : 3992 MOORE ST Contractor License No. : Company: Phone: 456-1572 Phone : OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiry that the setback distances proposed by this permit application are acwrete, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description : 10' X 12' SHED Building Permit Number Construction Value : $200.00 Permit Fee : $15.00 Plan Review Fee : $0.00 Use Tax : $4.00 Total: $19.00 BUILDING DEPARTMENT USE ONLY . v~n~-~ ~m~ Approval : MR 919196 Zoning : R-3 Approval: Approval : Occupancy : Walis BUILDING TO BE ANCHORED TO THE GROUND Date Sq. Ft. : Roof : Stories : Residential Units : Electrical License No : Company : Expiration Date : Approval: I Plumbing License No : Company : Mechanical License No : Company: Expiration Date : Approval: ; ' ~ ~ Expiration Date : Approval : (i) This permit was issued in aaordance with the provisions set forth in yopur application and is sub~ect to the laws o( the State of Cobrado and to the Zoning Regulations antl Builtling Code of Wheat Ridge, Colorado or any other applicable ordinances oF~e Ciry. (2) This permit shall expire if (A) the work authorized is not commenced within sixry (60) days from issue date or (B) the building authorized is suspentlea or abandoned for a period of 120 days. (3) If Ihis permit expirES, 2 new pefmit may be aCquifetl Fof a fee of one-half Ihe amount nOrm211y requirEd, providetl no changes have been or Will be made in the original plans antl specifcations and any suspension or abantlonment has nol exceetletl one (1) year. IF changes are matle or if suspension or abantlonment exceeds one (1) year, full tees shall be paitl for a new permit. (4) No work oF any manner shall be done ihat will change the naturel Flow of water causing a drainage problem. (5) Contractor shall notify ihe Buildinq Inspector twenry-four (24) hours in advance for all inspedions and shall receive written approval on inspection card before proceediing with successive phases of the job. (6) The issuance of a pertnit or the approval of tlrawings and specifications shall not be construetl to be a pertnit for, nor an approval of, any violation oF ihe provisions of the bu_iltlinJp c~oder any oclh~er ordinance, law, ru e or regulalion. Chief B'uilding Inspector „ PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : /a&_/T / Property Address : 3~gZ I-OVOLI-e ST Phone : rf3- 6/ '/f 7 Z Contr2ctor License No. : Company: Phone : OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this pertnit applieatian are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or colznarts, easemen.s cr restr,ctions of racord; :hat aq mzasurements shawr, and allega,icns matle are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibili for compliance with the Wheat Ridge Building Code (U.B.C.) and all other cii1ple eg(, idge rdi c s, forw rk under this pe it. r o (OWNER)(CONTRACTOR) SIGNE DATE ,i / uescripHon xta Construction Value : Permit Fee : r~`7O ?lar~ Review Fez : Use Tax : ~ Total : Approval : Zoning Buifilin~Camments:~ Approval: (3vdcQ," -~o to GrovwJ BUILDING DEPA// RTMENT USE ONGy` ~ ~ J[_C SIC : Sq. Ft. ' J'`~' ` " CiTY Of Wf-IEAT RIDGE nr~ fit1G 2 01996 ~'J~~ p1,ANNING & DEVELOPMENT Roof : Stories : Residential Units : Approval : Occupancy : Walis Electrical License No Company : Expiration Date : Approvai: Plumbing License Na : Company: Expiration Date : Approval: Mechanical License No : Company : Expiration Date : Approval: (1) This permit was issuetl in accortlance with the provisions sel forth in yopur applicaUOn an0 is subject to the laws of the State ol Coloratlo antl to the Zoning Regu!ations and Building Code ot VJheat Ritlge, Colorado or any other applicaEle ortlinances ot the City. (2) This pertnit shall expire rf(A) the work authorized is nol<ommenced within sixry (60) days from issue date or (B) the building authorized is suspended or abantloneC tor a penod of 120 days. (3) If lhis pertnit ezpires, a new pertnit may be acquired for a fee of one-half the amount normalty required, provided no changes have been or will be made in the original plans anA speci(cations antl any suspension or abantlonment has not exceetletl one (1) yeac If chanqes are made or if suspension or aCantlonment exceeds one (1) year, !u0 fees shall be paid for a new pertnit. (4) No work of any manner shall be done that will change the natural flow of water causing a tlrainage problem. (5) Cont2ctor shall notiry the Builtling Inspector hvenry-four (24) hours in a0vance for all insDections and shall receive wri;ten appmval on inspection card before (8) 7he issujerice o~a p~lmit or the apyroval oitl2wings antl specifcations shall not be wnstrued to be a permit for, nor 3n approval of, any violation of Ne provisions o( the bCiiltling.totlqE or any otheqortlinance, law, Me or regulation. Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY YHE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION fs'6 ~ 7 z ' CITY OF WN€AT R►DGE rLALnr~ UG 3 0 1996 LSU_.._ ~ FLANNING & DEVELOPMENT ~ G✓a'~/' - Z ~i ; ,o Z ' /10 ~ s~y~ 1~s p ✓ L'~' ~~'~'f~,l~ , j i~'Ze~~~''~ ~ fx ~a~